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Updated: May 28, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Communication and critical illness: a narrative account
1Pennsylvania State University.
Critical illness places many challenges on the ill and their loved ones. These challenges are even more pronounced when the critically-ill individual is a child. This article provides a very personal narrative account of a mother's use of communication to cope with the many stresses, constraints and symbolic challenges encountered in helping her daughter confront life- threatening cancer. The article powerfully illustrates how strategic communication enables parents to serve as effective advocates for their critically-ill children, negotiate the bureaucracy of the modem health system and establish supportive interpersonal relations with interdependent partners in the health-care enterprise.
Critical illness places many challenges on the ill and their loved ones. These challenges are even more pronounced when the critically-ill individual is a child. This article provides a very personal narrative account of a mother's use of communication to cope with the many stresses, constraints and symbolic challenges encountered in helping her daughter confront life- threatening cancer. The article powerfully illustrates how strategic communication enables parents to serve as effective advocates for their critically-ill children, negotiate the bureaucracy of the modem health system and establish supportive interpersonal relations with interdependent partners in the health-care enterprise.
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